CPT 99375 pays $105.55 in a non-facility setting and $73.82 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $97.55 in Arkansas to $135.65 in Alaska, a 39% spread.
National non-facility rate
$105.55
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 39% spread
53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.
| State | Rate compared visually | Non-facility | Facility |
|---|---|---|---|
| Alaska | $135.65 | $101.86 | |
| District of Columbia | $116.93 | $79.55 | |
| New York | $114.70 | $79.30 | |
| New Jersey | $114.38 | $78.65 | |
| California | $114.02 | $76.47 | |
| Washington | $112.76 | $76.59 | |
| Massachusetts | $112.06 | $76.41 | |
| Connecticut | $110.87 | $76.69 | |
| Hawaii | $110.04 | $73.96 | |
| Florida | $109.17 | $77.34 | |
| Maryland | $108.46 | $75.38 | |
| Colorado | $108.26 | $74.50 | |
| Rhode Island | $107.70 | $74.92 | |
| Illinois | $107.61 | $76.95 | |
| Oregon | $107.35 | $73.92 | |
| New Hampshire | $106.90 | $73.86 | |
| Puerto Rico | $105.98 | $73.90 | |
| Virgin Islands | $105.98 | $73.90 | |
| Montana | $105.54 | $73.81 | |
| Pennsylvania | $105.42 | $74.34 | |
| Nevada | $104.98 | $73.21 | |
| Delaware | $104.94 | $73.59 | |
| Texas | $104.92 | $73.68 | |
| Wyoming | $104.59 | $72.86 | |
| Michigan | $104.35 | $74.56 | |
| Georgia | $104.33 | $74.06 | |
| Minnesota | $104.24 | $71.59 | |
| Virginia | $103.72 | $72.53 | |
| Arizona | $103.65 | $72.90 | |
| North Dakota | $103.36 | $71.63 | |
| Vermont | $103.29 | $71.88 | |
| South Dakota | $103.11 | $71.38 | |
| New Mexico | $102.63 | $73.53 | |
| Utah | $102.53 | $72.70 | |
| Maine | $102.21 | $71.89 | |
| Louisiana | $101.88 | $72.91 | |
| Missouri | $101.86 | $72.74 | |
| Ohio | $101.74 | $72.77 | |
| South Carolina | $101.64 | $72.33 | |
| West Virginia | $101.35 | $73.78 | |
| North Carolina | $101.27 | $71.66 | |
| Wisconsin | $101.15 | $70.75 | |
| Indiana | $100.44 | $71.03 | |
| Kentucky | $100.34 | $72.13 | |
| Idaho | $100.08 | $70.89 | |
| Oklahoma | $100.01 | $71.67 | |
| Nebraska | $99.87 | $70.58 | |
| Tennessee | $99.83 | $70.99 | |
| Iowa | $99.58 | $70.55 | |
| Kansas | $99.49 | $70.81 | |
| Mississippi | $98.46 | $71.14 | |
| Alabama | $98.44 | $70.68 | |
| Arkansas | $97.55 | $70.29 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates